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題 名 | 以危機導向的居家護理模式運用於社區之干擾行為患者=Use Crisis-oriented Home Care Model for the Care of Patients with Disturbing Behavior in the Community |
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作 者 | 簡旭敏; 蕭妃秀; 蔡長哲; 簡瑩佩; 林怡利; | 書刊名 | 源遠護理 |
卷 期 | 2:2 2008.11[民97.11] |
頁 次 | 頁42-51 |
分類號 | 429.5 |
關鍵詞 | 危機導向的居家護理模式; 精神分裂症; Crisis-oriented home care model; Schizophrenia; |
語 文 | 中文(Chinese) |
中文摘要 | 本文描述一位發病十多年未規則就醫而在社區出現破壞干擾行為的精神分裂症個案,抗拒就醫而使家人無法帶至醫院求治,案夫在友人協助下求助於本院居家治療,護理期間96年7月2日至8月31日。筆者以危機為導向的居家護理模式於個案的照護,依五大層面整體性評估個案的護理問題,包括:不遵從行為/服藥、思考過程改變、家庭運作過程改變等。透過定期居家訪視及電話追蹤關懷個案以建立治療性人際關係、長效針劑的給予和療效的持續追蹤,提供家人和個案疾病衛教及心理支持。個案經由居家治療措施提供後可接受長效針劑的持續治療,精神狀態漸趨穩定解除疾病所導致的危機,家人也可發展出與個案的良好互動模式。以危機導向居家治療的模式協助社區干擾個案接受治療,及幫助個案的家人處理因為精神症狀所導致的家庭危機。本個案報告的照護經驗期能提供護理同仁照顧類似個案的參考及引發大家對社區精神病患居家照護的重視。 |
英文摘要 | This article describes the care of a schizophrenic patient with disturbing behavior in the community.The patient refused to receive regular medical care in the hospital setting so the family sought home care. During a 2-month period, the author used the crisis-oriented home care model to manage the patient. The five aspects of holistic assessment identified four nursing problems: (1) noncompliant behavior, (2) noncompliant in taking medications, (3) altered thinking process and (4) altered family process. Interventions included establishment of therapeutic relationship, administration of long-acting antipsychotic injection, persistently monitored treatment outcomes, patient and family education, and emotional support to patient and the family. The patient agreed to long-acting injection treatment that contributed to the stabilization of mental status and improvement in family interactions. The crisisoriented family care model was useful in helping the patient receive appropriate treatment and in managing family crisis during the patient's psychotic period. |
本系統中英文摘要資訊取自各篇刊載內容。